Understanding Psychosocial and Sexual Health Concerns Among Women With Bladder Cancer Undergoing Radical Cystectomy

Area of Science:

• Oncology
• Urology
• Psychology

Background:

• Bladder cancer (BCa) diagnosis and treatment, including radical cystectomy (RC), significantly affect patients' quality of life.
• Female sexual dysfunction (FSD) is a complex issue with both physical and psychosocial components that requires further investigation in the context of BCa treatment.

Purpose of the Study:

• To explore the physical and psychosocial aspects of FSD in women who have undergone RC for BCa.
• To understand the impact of RC on sexual health and overall wellbeing from the perspective of patients and their partners.

Main Methods:

• Qualitative descriptive study employing semistructured individual interviews and a focus group.
• Involved both pre- and post-radical cystectomy female patients and their partners.
• Thematic analysis was conducted by two independent coders using constant comparison.

Main Results:

• Key themes included body image changes, psychological distress from BCa diagnosis/treatment, concerns about RC's impact on sexual function, and insufficient sexual health counseling.
• Patient prioritization of sexual function varied based on age, relationship status, and oncologic concerns.
• Both younger and older patients expressed a desire to maintain sexual function as an option.

Conclusions:

• Women undergoing RC for BCa face significant physical and psychosocial challenges impacting sexual function and body image.
• There is a critical need for enhanced sexual health counseling and psychosocial support for these patients.
• Future research and clinical practice should prioritize addressing these unmet needs to improve patient outcomes.